急性心肌梗塞合并心功能不全的诊疗进展

Abstract

急性心肌梗塞常合并有急性心功能不全和(或)左室功能下降，对于心肌梗死后期的心功能不全发生率，短期及长期的致死率有显著影响。研究发现及时开通急性心肌梗死患者罪犯血管(溶栓或急诊PCI或溶栓后PCI，搭桥治疗)，急性心肌梗死合并心功能不全发生率明显下降，仍有一部分急性心肌梗死患者合并有急性心功能不全及(或)左室功能不全，且这两种并发症常并存，互相影响，导致急性心肌梗死后“存活”患者的心功能不全的发生率增加。如何预防心肌梗死后急性心功能不全的发生，目前仍是临床关注的问题。下面就急性心肌梗塞合并心功能不全的流行病学，分型，机制等方面进行综述。 Acute myocardial infarction is often accompanied with acute cardiac inefficiency and/or left ventricular dysfunction that affects the incidence of cardiac insufficiency and short term and long-term mortality. The study found that the timely opening of blood vessels (thrombolysis or emergency PCI or thrombolysis after PCI, bypass treatment), in acute myocardial infarction pa-tients with acute myocardial infarction, remarkably reduce the acute cardiac inefficiency and/or left ventricular insufficiency, but there are still some patients with acute myocardial infarction have acute cardiac incomplete function and/or left ventricular dysfunction, these two complica-tions often coexist, and affect each other, leading to acute myocardial infarction “surviving” pa-tients increasing incidence of cardiac insufficiency. How to prevent the incidence of acute cardi-ac insufficiency in myocardial infarction patients which is focus in clinical. The overview is about the epidemiology, typing, and mechanisms of acute myocardial infarction with acute cardiac insufficiency.